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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

MS4 Infographic - Pulmonary Embolism Management and Disposition

March 6, 2024

We frequently discuss and teach the diagnostic algorithm for the evaluation of pulmonary embolism (PE). Beyond that, many learners will treat patients as either sick or not sick. In reality, the nuances of the middle ground can be the differences between life and death. Here, we discuss the evaluation and management of PEs in the ED.

Josué Rodriguez, MS4

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In Pulmonary Tags Critical Care, Pulmonary
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Source: Photo by Marcelo Leal on Unsplash

The Cheese - Opioid Withdrawal Treatments and Adjuncts in the ED

February 22, 2024

Picture this: it’s 11:02pm on a Friday Night. Red Team is bed-locked and you’re doing your best hospitalist impression while managing all of the boarding patients. The nurse comes up to you and says, “Hey, this patient in bed 26 is endorsing heroin withdrawal, can we give them something for it?” What’s your next move? Here we discuss the treatment of opioid withdrawal in the emergency department. 

Vladimir Bernstein, MD

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In Social EM, Toxicology Tags Pharmocology
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Source: Image by storyset on Freepik

PharmD Pearls - Vitamin Morning Cocktail!

February 15, 2024

Thiamine repletion for patient’s with alcohol use disorder is a low-cost, high-reward intervention. Studies have found if an ED physician does not start thiamine, patient’s admitted for a complication of alcohol use are less likely to receive thiamine on their admission. Here, our emergency department clinical pharmacist and a student pharmacist review dosing of thiamine for those with alcohol use disorder

Aonyea Spinks-Boykins, P4 Pharmacy Student, MWU Doctor Pharmacy Candidate and Joanne Routsolias, PharmD

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In Pharmacology Tags PharmD Pearl, Pharmocology
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